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Ambulatory Health Care Facilities Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure

Provider NPI: 1225083249

Organization Information:
Organization is not Subpart
Authorized Official:  NANCY  LAMBERT  CHIEF, UBO  573-596-0494

Practice Location:
Tel: 573-596-0035  Fax: --

Business Mailing Address:
Tel: 573-596-0494  Fax: 573-596-0511

NPI Information:
NPI: 1225083249
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QM1101XAmbulatory Health Care Facilities
Military and U.S. Coast Guard Ambulatory Procedure
N261QM1100XAmbulatory Health Care Facilities
Military/U.S. Coast Guard Pharmacy
N341800000XTransportation Services
Military/U.S. Coast Guard Transport
Military Hospital

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2865M2000X





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